Healthcare Provider Details

I. General information

NPI: 1104351568
Provider Name (Legal Business Name): RACHEL A HINSHAW RN, NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2017
Last Update Date: 07/09/2025
Certification Date: 07/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 W 86TH ST
INDIANAPOLIS IN
46260-1902
US

IV. Provider business mailing address

12315 HANCOCK ST STE 24
CARMEL IN
46032-5885
US

V. Phone/Fax

Practice location:
  • Phone: 765-621-8015
  • Fax:
Mailing address:
  • Phone: 317-708-3732
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number28168830A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: